Platinum Behavioral Health Llc
LBN: Platinum Behavioral Health Llc
Platinum Behavioral Health Llc is an health care organization with primary practice located at 1125 West St Ste 235 , Annapolis MD 21401-4198. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Platinum Behavioral Health Llc can be contacted via phone (240) 353-1018, or through Cook, Malcolm via phone (240) 353-1018.
Contact Information
Primary practice address
1125 West St Ste 235
Annapolis MD 21401-4198
Phone: (240) 353-1018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1083244354 |
|---|---|
| LBN Legal business name | Platinum Behavioral Health Llc |
| DBA Doing business as | |
| Authorized official | Cook, Malcolm Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2020 |
| Last updated | Oct 26th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083244354 | NPPES |
| Maryland | MEDICAID | 15880647208 |
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